Eptopic pregnancy: how to identify Posted: 10-04-06 06:51am
Hi doctor, recently 3month ago i had an
eptopic pregnacy and am a little concerded
as i have just found out i am pregnat i
called my doctor and she sent me for 2
blood test and this is to confrim the
location of the baby she did not ask to
see me is this normal? also what is the
chances of it happening again? i also dont
have any symptons yet of being pregnant
only a little tied and now and agin sore
boobs but i dont realy feel pregant is
this all normal im so concered and carnt
seem to relax i just want all the normal
thing that doctors do when they onfirm
dates and have a chat with u please help.
Regards.
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DoctorAnswer
Doctor Answer
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Pregnancy Answer A1600 Posted: 10-10-06 06:30am
A positive pregnancy test confirms a
pregnancy but cannot precisely locate it.
Pregnancy tests detect the hormone hCG.
The hCG levels in cases of ectopic
pregnancy are lower than in normal
pregnancies, so a false-negative results
is possible. To avoid a false-negative
test, you should use the more specific,
blood-based pregnancy test (beta). In
cases of ectopic pregnancy, not only are
the hCG-levels lower than normal, but also
the hCG-level increases more slowly than
during a normal pregnancy. In a normal
pregnancy, the hCG-level doubles every 24
hours in the first weeks of pregnancy. In
the case of an ectopic pregnancy, the
increasing of hCG-levels are less than 66%
over 48 hours. The location of an ectopic
pregnancy can be determined with an
ultrasound, but not always. Normal
(uterine) pregnancies can be confirmed
with ultrasound in the 5th week of
pregnancy. Tubal ectopic pregnancies
can’t be seen with an ultrasound before
the 7th week of pregnancy . Therefore, in
some cases, a laparoscopy will be
requested to find the embryo. Chances of
having a repeated ectopic pregnancy are
15%.
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